LAURIE A WAGNON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090938

License Status

NOT RENEWED

Business

First Name

LAURIE A

Last Name

WAGNON

Business Name

LAURIE A WAGNON

Original Issue Date

08/18/1989

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015